Provider Demographics
NPI:1013231174
Name:WINTERSCHEID, MARIE NELSON (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:NELSON
Last Name:WINTERSCHEID
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 EDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:WALDPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97394-9058
Mailing Address - Country:US
Mailing Address - Phone:541-264-0024
Mailing Address - Fax:541-737-7721
Practice Address - Street 1:211 DIXON RECREATION CTR
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97331-8501
Practice Address - Country:US
Practice Address - Phone:541-737-7556
Practice Address - Fax:541-737-7721
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3524261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy